Co-Create Application Form
💜 Hello future Bestselling Author!

Welcome to the application form for the Co-Create 1:1 book coaching program! I can't wait to connect with you and help you finally write the book of your dreams.

Once I receive the application, I will carefully review it and get in touch with you regarding next steps to schedule a Clarity Call so we can chat more about your book goals and if this program is the right fit for you!

With gratitude,

Pia

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1) What is your first and last name? *
2) What is your email address? *
3) Where are you located? (city/country) *
4) How did you find Pia? *
5) What is your website and/or social media handles?
 *
6) What stage of writing are you at? *
Required
7) Please briefly explain what your book is about and why it's important to you? *
8) Is your book connected to your business or other work? How would you like your book to work for you? *
9) What are your goals for your book? *
Required
10) What are you currently struggling with? What would you like to walk away with in our time together? *
11) When would you (ideally) like to have your book published? *
12) The investment for the 1:1 Co-Create monthly book-writing experience is $2500/m USD. Continue until you feel complete. Are you ready to invest in your publishing journey? *
Required
13) When would you like to begin working together? *
Required
14) Is there anything else you want me to know?
Thank you for filling out the form! 
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